Case Study
Claims Manager

Roosevelt General Health Streamlines Claims Efficiency

man working at a computer

Business Issue

Roosevelt General Health struggled with fragmented billing across multiple EHRs, inefficient claims processing and low clean claim rates. Billers faced unclear edits, claim errors and a lack of integration, resulting in manual work and reimbursement delays.

Before FinThrive

Using two separate EHR systems for different facilities complicated claims processing

Transitioning to Meditech as their sole EHR required a claims management solution that could integrate seamlessly

Billers had difficulty identifying and resolving errors due to unclear claim rejections and a lack of visibility into discrepancies

Solution Highlights

Clear rejection and warning descriptions improved claims correction efficiency

Bridge routines reduced claim errors, saving time and labor costs

Monthly training and support optimized processes and
resolved issues

Seamless EHR integration enabled smooth data transfer and minimized friction

Customer Overview

A non-profit, general healthcare provider located in rural Portales, New Mexico

The hospital operates three facilities and manages claims across five National Provider Identifiers

A satisfied Claims Manager customer since 2021

FinThrive Value

23%

Increased clean claim rate by 23%, from 63% to 86%

1400

Average hours saved per month

5%

Decreased A/R days from 35 to 30

“Our billing process is more efficient. We’ve significantly improved our clean claim rate, and what used to take all day now takes about an hour. My case list used to be multiple pages long—now, it’s down to half a page. The ability to quickly pinpoint issues and collaborate with support has made a huge difference.”

Charlene Seat, Lead Billing Specialist

Confident business woman at easy

Revenue management without limits

FinThrive provides smarter, smoother revenue management to 3,250+ healthcare providers in North America, including 37 of the 40 largest hospitals and health systems in the U.S.